Allogene, genetisch modifizierte T-Zellen (1) – Zalmoxis®

Haematological malignancies, concomitant therapy in haploidentical haematopoietic stem cell transplantation

Characteristics

Start date 15.01.2018 – Marketing authorisation: 18.08.2016
Resolution 05.07.2018
Limitation date 01.04.2021
INN Allogene, genetisch modifizierte T-Zellen
Brand name Zalmoxis®
Pharm. company Dossier: Dompé farmaceutici S.p.A.
New distributor: MOLMED S.P.A.
G-BA Procedure ID D-333
ATC code L01XX60 Other antineoplastic agents (L01XX)
DDD 1 U P
Therapeutic area Oncological diseases Stem cell transplant Orphan
Reason for procedure Initial assessment
Regulatory status Conditional Approval ATMP authorisation withdrawn by manufacturer

Therapeutic indication of the resolution

Zalmoxis is indicated as adjunctive treatment in haploidentical haematopoietic stem cell transplantation (HSCT) of adult patients with high-risk haematological malignancies.

Subpopulation Indication Comparator
Adjunctive therapy for haploidentical haematopoietic stem cell transplantation (HSCT) in adults with high-risk haematological malignancies – (Orphan drug)

Studies and Results

No. of studies
(best subpopulation)
1 (TK007)
Study design
(best subpopulation)
Single-arm + historical comparison
Meta analysis
(best subpopulation)
no

  • Clinical trials
    • The TK007 study is a single-arm, uncontrolled clinical study of Phase 1/2 investigating the efficacy and safety of ‘allogeneic, genetically modified T-cells’ as an adjunctive treatment option in haploidentical haematopoietic stem cell transplantation (HSCT).
    • The TK008 study is an ongoing, randomised, controlled Phase 3 trial enrolling adult patients with acute leukaemia.

Allogeneic, genetically modified T-cells as adjuvant therapy in haploidentical haematopoietic stem cell transplantation (HSCT) in adults with high-risk haematological malignancies

  • The G-BA assesses the extent of the additional benefit to be assumed, from a purely legal perspective, pursuant to Section 35a(1), sentence 11, first clause, of SGB V, of ‘allogeneic, genetically modified T-cells’ – to be assumed solely from a legal perspective under Section 35a(1), sentence 11, first half-clause, of SGB V – as non-quantifiable, based on the criteria set out in Section 5(7) of the AM-NutzenV, taking into account the severity of the disease and the therapeutic objective in treating the disease.
  • An additional benefit exists in accordance with Section 35a(1), sentence 11, first clause, of SGB V, but is non-quantifiable because the scientific evidence currently does not permit this.
  • Conclusion
    • To assess the additional benefit, the pivotal study TK007 – a single-arm, uncontrolled clinical study of Phase 1/2 – was submitted, along with data on individual patients from the ongoing Phase 3 study TK008 and a historical control using data from a registry.
    • Overall, based on the study data presented and the historical control, it is not possible to make a valid assessment of the additional benefit of ‘allogeneic, genetically modified T-cells’ in the indicated therapeutic indication.

Courtesy translation only, please refer to the German original.

Associated procedures

Allogene, genetisch modifizierte T-Zellen (1) Zalmoxis® Dompé farmaceutici S.p.A. Oncological diseases Haematological malignancies, concomitant therapy in haploidentical haematopoietic stem cell transplantation 100–140 100% non-quantifiable additional benefit Orphan


<< List of all resolutions